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General NPI Number Information
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NPI Number | 1093629594
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE VANSCOY
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1249 15TH ST
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City | HUNTINGTON
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State | WV
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Zip | 25701-3662
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Country | US
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Telephone | 304-691-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 649 WESTVIEW AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-4641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 127784
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License Number State | WV
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